Suffering from iIdiopathic thrombocytopenic purpura - Online Doctor Chats
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Practicing since : 2008
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Doctor : Hi
Doctor : please proceed with your query.
User : Hello
User : My mother is suffering from ITP
User : idiopathic thrombocytopenic purpura (ITP)
Doctor : ok
User : can you help me the query related to this disease?
Doctor : yes , please proceed .
User : She is sufferning from this problem since lst 3 years
Doctor : ok
User : i want to know is there any permanant solution to cure this?
Doctor : OK
User : As whenever the platelets count come down..bleeding starts from her gums and red spots appear all over the body.
Doctor : yes , ITP presents like this
User : we take her KEM hospital when she faces this problem and they give medicines realted tp prednisolene..then she fees fine
User : then again we have to follow same procedure in few mnths again
Doctor : ok
User : i want permanent cure..
User : can it be operated or medicated
Doctor : let me tell you that ITP has two forms
Doctor : one being the acute and other being chronic
Doctor : this is a platelet disorder
Doctor : your mother has had episodes for more than 3 yrs
Doctor : hence she falls under chronic ITP category
Doctor : many a times if it is mild then it does not need any treatment
Doctor : but , if it gets very severe and frequent
Doctor : there are ways of treating it
User : ok
Doctor : the best being monitoring the platelet counts and giving steroids
Doctor : this is through medications
Doctor : and the last resort will be surgery
Doctor : spleenectomy
Doctor : but that has specific indications and not done in all patients
Doctor : if ITP is getting controlled with prednisolone then we do not recommend other methods
User : when does this spleenectomy comes in picture?
User : Yes.she fees beeter with the prednisolone medicine
User : but after few mnths gain bleeding starts..so we have to again follow same ...
User : cant it be prevented?
User : so that the bleeding never starts?
Doctor : yes , ITP will follow , it is known to recur and we have to again re treat i with steroids only
Doctor : we cannot prevent it , as it is a part of her body mechanism , we can only avoid complications
User : then when does spleenectomy operation is done?
Doctor : generally if the patient shows no improvement when on steroids like prednisolone , then doctors consider spleenectomy
Doctor : but removing the spleen can also be risky as the immnunity will come down if one does so
Doctor : even if this fails , there are other medicines to treat it
Doctor : which includes drugs used in chemotherapy
Doctor : it depends on the platelet count and the way she responds to her treatment
Doctor : are you with me ?
User : Is ITP a serios disease? how does it occurs ?
Doctor : ITP can be of two types
Doctor : as i mentioned it can be acute and chronic
Doctor : but both may be presenting in two ways
Doctor : some people will have mild and many have severe ones
Doctor : ITP is related to the immune pathology in our body
Doctor : normally when our body produces platelets , they sustain and perform their function
Doctor : but in ITP the body forms antibodies , for the platelets produced by itself
Doctor : hence the body will kill its own plateletes without knowing that they should not be killed
Doctor : when the platelet count falls , the person gets problems like bleeding and spots in the body , infection , etc which are taken care of by platelets
Doctor : in this person the platelet count will become very low
Doctor : the lower the counts , the severe is the ITP
Doctor : did you follow my words?
User : Yes.
User : Is it Genetic?
User : As my mom was very much healthy since so many years..suddenly 3 years before we came to knwo abt ITP
Doctor : no , it is not genetic
Doctor : no , it is not genetic
User : Is it Genetic? or Heditorary?
Doctor : it comes under autoimmune disease category
User : what do u mean by autoimmune ?
User : ok.so it can happen to anybody
Doctor : auto immune means the body itself becomes immune to certain cells or any other substances which the body starts producing antibodies
Doctor : and destroys cells which it is not meant to destroy
Doctor : yes , any one can have it , in the sense if they have the auto immune problems in them
Doctor : children pick up ITP after a viral infection
Doctor : did you follow my suggestions ?
User : Yes.i am clearly understanding....is it contagious ?
Doctor : no , it is not contagious
User : As u said we cannt prevent it..but can any type of food can help us so that we dont face any severe consequnces
User : or any food can kee my mom fit or healthy
Doctor : no , there is not much restriction in any food which has been documented to prevent an ITP
User : Oh so restrictions but can you recommend food which should be consumed
User : to keep her heathy
Doctor : let her have good green leafy vegetebles
Doctor : that will help
User : One more question
User : My mom was fibne since almost 8 mnths..suddenly on friday bleeding started from gums
Doctor : ok
User : so we went to KEM hosp on saturday..then have given some medicine and told that OPD is on thursaddy so come on that day
Doctor : ok
Doctor : has her bleeding come down ?
User : since 2 days there is bleeding but red spots has come on her body
User : i am sorry there no bleeding since 2 days
User : so can we wait na till thiursady or any thing might go serios?
Doctor : yes , you can wait .
User : so when is the case when ITP patient has to be immidiately medicated...
Doctor : may i know the other medicines prescribed for her since her last visit ?
User : as we cant be attended on all days in KEM
User : I dnt re,member the name..but it was calcium kind of medicine wat she told
Doctor : ok
User : and prednisolne
Doctor : you can continue the medicines and wait till her turn
User : so thats wat my question was
Doctor : ok
User : when it gets more severe...i mean in ITP are there chaces for emergencies
User : like has to be hospitalised...
User : because red spots are increased on her face
Doctor : yes , if there is severe bleeding from every where like from the urinary region , from gums , from intestines which come in stools and external bleeding from tissues then needs immediate treatment
Doctor : as long as there is no bleeding , do not worry
User : Laat question
Doctor : yes
User : what is the life og ITP patiennt..i mean death cases
Doctor : the patient can lead a very normal life , if her platelet counts are normal , and the bleeding is controlled and responding well to steroids
Doctor : it will not cause any major problems in such cases
Doctor : I hope i answered all your questions ?
User : Yes.
User : U have
User : I am very much satisfied and relief
Doctor : do not worry
Doctor : thank you for consulting me
User : thanks...
Doctor : take care of your dear mom
User : yes i will
Doctor : pleasure talking to you
User : Bye
User : same here
Doctor : bYE FOR NOW
Doctor : please proceed with your query.
User : Hello
User : My mother is suffering from ITP
User : idiopathic thrombocytopenic purpura (ITP)
Doctor : ok
User : can you help me the query related to this disease?
Doctor : yes , please proceed .
User : She is sufferning from this problem since lst 3 years
Doctor : ok
User : i want to know is there any permanant solution to cure this?
Doctor : OK
User : As whenever the platelets count come down..bleeding starts from her gums and red spots appear all over the body.
Doctor : yes , ITP presents like this
User : we take her KEM hospital when she faces this problem and they give medicines realted tp prednisolene..then she fees fine
User : then again we have to follow same procedure in few mnths again
Doctor : ok
User : i want permanent cure..
User : can it be operated or medicated
Doctor : let me tell you that ITP has two forms
Doctor : one being the acute and other being chronic
Doctor : this is a platelet disorder
Doctor : your mother has had episodes for more than 3 yrs
Doctor : hence she falls under chronic ITP category
Doctor : many a times if it is mild then it does not need any treatment
Doctor : but , if it gets very severe and frequent
Doctor : there are ways of treating it
User : ok
Doctor : the best being monitoring the platelet counts and giving steroids
Doctor : this is through medications
Doctor : and the last resort will be surgery
Doctor : spleenectomy
Doctor : but that has specific indications and not done in all patients
Doctor : if ITP is getting controlled with prednisolone then we do not recommend other methods
User : when does this spleenectomy comes in picture?
User : Yes.she fees beeter with the prednisolone medicine
User : but after few mnths gain bleeding starts..so we have to again follow same ...
User : cant it be prevented?
User : so that the bleeding never starts?
Doctor : yes , ITP will follow , it is known to recur and we have to again re treat i with steroids only
Doctor : we cannot prevent it , as it is a part of her body mechanism , we can only avoid complications
User : then when does spleenectomy operation is done?
Doctor : generally if the patient shows no improvement when on steroids like prednisolone , then doctors consider spleenectomy
Doctor : but removing the spleen can also be risky as the immnunity will come down if one does so
Doctor : even if this fails , there are other medicines to treat it
Doctor : which includes drugs used in chemotherapy
Doctor : it depends on the platelet count and the way she responds to her treatment
Doctor : are you with me ?
User : Is ITP a serios disease? how does it occurs ?
Doctor : ITP can be of two types
Doctor : as i mentioned it can be acute and chronic
Doctor : but both may be presenting in two ways
Doctor : some people will have mild and many have severe ones
Doctor : ITP is related to the immune pathology in our body
Doctor : normally when our body produces platelets , they sustain and perform their function
Doctor : but in ITP the body forms antibodies , for the platelets produced by itself
Doctor : hence the body will kill its own plateletes without knowing that they should not be killed
Doctor : when the platelet count falls , the person gets problems like bleeding and spots in the body , infection , etc which are taken care of by platelets
Doctor : in this person the platelet count will become very low
Doctor : the lower the counts , the severe is the ITP
Doctor : did you follow my words?
User : Yes.
User : Is it Genetic?
User : As my mom was very much healthy since so many years..suddenly 3 years before we came to knwo abt ITP
Doctor : no , it is not genetic
Doctor : no , it is not genetic
User : Is it Genetic? or Heditorary?
Doctor : it comes under autoimmune disease category
User : what do u mean by autoimmune ?
User : ok.so it can happen to anybody
Doctor : auto immune means the body itself becomes immune to certain cells or any other substances which the body starts producing antibodies
Doctor : and destroys cells which it is not meant to destroy
Doctor : yes , any one can have it , in the sense if they have the auto immune problems in them
Doctor : children pick up ITP after a viral infection
Doctor : did you follow my suggestions ?
User : Yes.i am clearly understanding....is it contagious ?
Doctor : no , it is not contagious
User : As u said we cannt prevent it..but can any type of food can help us so that we dont face any severe consequnces
User : or any food can kee my mom fit or healthy
Doctor : no , there is not much restriction in any food which has been documented to prevent an ITP
User : Oh so restrictions but can you recommend food which should be consumed
User : to keep her heathy
Doctor : let her have good green leafy vegetebles
Doctor : that will help
User : One more question
User : My mom was fibne since almost 8 mnths..suddenly on friday bleeding started from gums
Doctor : ok
User : so we went to KEM hosp on saturday..then have given some medicine and told that OPD is on thursaddy so come on that day
Doctor : ok
Doctor : has her bleeding come down ?
User : since 2 days there is bleeding but red spots has come on her body
User : i am sorry there no bleeding since 2 days
User : so can we wait na till thiursady or any thing might go serios?
Doctor : yes , you can wait .
User : so when is the case when ITP patient has to be immidiately medicated...
Doctor : may i know the other medicines prescribed for her since her last visit ?
User : as we cant be attended on all days in KEM
User : I dnt re,member the name..but it was calcium kind of medicine wat she told
Doctor : ok
User : and prednisolne
Doctor : you can continue the medicines and wait till her turn
User : so thats wat my question was
Doctor : ok
User : when it gets more severe...i mean in ITP are there chaces for emergencies
User : like has to be hospitalised...
User : because red spots are increased on her face
Doctor : yes , if there is severe bleeding from every where like from the urinary region , from gums , from intestines which come in stools and external bleeding from tissues then needs immediate treatment
Doctor : as long as there is no bleeding , do not worry
User : Laat question
Doctor : yes
User : what is the life og ITP patiennt..i mean death cases
Doctor : the patient can lead a very normal life , if her platelet counts are normal , and the bleeding is controlled and responding well to steroids
Doctor : it will not cause any major problems in such cases
Doctor : I hope i answered all your questions ?
User : Yes.
User : U have
User : I am very much satisfied and relief
Doctor : do not worry
Doctor : thank you for consulting me
User : thanks...
Doctor : take care of your dear mom
User : yes i will
Doctor : pleasure talking to you
User : Bye
User : same here
Doctor : bYE FOR NOW
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